London's Pulse: Medical Officer of Health reports 1848-1972

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Ilford 1924

[Report of the Medical Officer of Health for Ilford]

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57
One probationer nurse contracted a severe type of the disease
at the Hospital and ultimately developed a widespread paralysis
of the limbs, from which she made a good recovery.
No other cases of paralysis were observed. The other complications
occurring were otorrhœa 3 cases, on one of which an
operation for acute mastoiditis had to be performed.
One child admitted suffering from both measles and acute
laryngitis, possibly diphtheritic in origin, died from bronchopneumonia.
One child with laryngeal diphtheria had the operation of
tracheotomy performed, and a satisfactory recovery ensued.
An interesting case was admitted as laryngeal diphtheria.
The child, however, was suffering from " air-hunger " caused by
diabetes. The child rapidly passed into coma, and although
insulin was injected intravenously a fatal result ensued. Analysis
of the urine showed 6.9 per cent. of sugar with acetone and
di-acetic acid.
Meningitis.—Two cases notified as meningitis were admitted,
one child, aged two, was suffering from a streptococcal meningitis
which unfortunately is invariably fatal, as it was in this instance.
In the other case, which was discharged, no definite
evidence of meningitis could be found.
Puerperal Fever.—Two mild cases of this disease were
admitted. Both made an excellent recovery with serum treatment.
Enteric Fever.—Three cases were admitted. One girl, aged
19 years, died from a severe type of the disease with intestinal
haemorrhage. The two others, one of whom gave a persistent
negative blood reaction, made an excellent recovery.
Encephalitis Lethargica.—One case, a youth aged 21, was
admitted suffering from the disease of a typical lethargic type.
He recovered, but did not regain his normal mentality.